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He had a huge gash on arm. They initially gave him Seroquel after the episode. He was like a zombie at that point. He continued to be out of it until another worker took the next shift (1week). She said she was not giving him the medicine and he was doing fine. I took him and my mom (she also has Alzheimer's) out to see another ALF facility and he was doing great. I made arrangements to have them transferred the next month because this was the second time dad and this one particular worker had fought with dad getting a gash both times. Once on head and once on arm. (Bad gashes). They sent in another worker and m&d only needed to make it to the 30th to be moved. I went over on Christmas and mom and worker were at table. Worker was eating and mom had no fork to eat. I asked where dad was and she said he was being difficult. I went in room and he was lying on the floor with his head on point of dresser. I tried talking with him and he was out of it. Got him up and to table and he fed himself (very difficult). Ate good. Could not carry on conversation or walk. Can a person with Alzheimer's change so dramatically from this exchange in 3 weeks?

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thank you for your comments. I have located another ALF for them. I moved their things today. Unfortunately dad is in Hospice now but because of medication cannot communicate with us.
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This makes no sense. Aides have no option to withhold medicine. Nor do they eat with the residents. A "huge gash" would have needed stitches at the ER. You found a suspected assault but didn't call 911. Bullsnot.
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Districtgal, I agree with the other writer above, I think it is time for your parents, especially your Dad, to go into a higher level of continuing care since they both have Alzheimer's.... and as we know, Alzheimer's only gets worse, not better.
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It could be that he's having TIAs, mini strokes, or has a continued problem from whatever started the first altercation. It does sound like the medications may plan a role, and the seroquel might administered whenever this aide says Mr is being belligerent when it's a personality clash. I would certainly move both parents immediately!

Mthr's memory care will accept married couples so they can stay together even if one is not in need of lockdown care. You might want to look at that option, for both to be together, so you never have this aide in charge of your mom.
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I would be worried there are fractures or other undiagnosed injuries from these altercations and falls, was he checked over at the hospital?
And WTF, he gets into altercations and is badly injured and nobody seems to think this is abnormal so they send in the same aide again? I'm wondering about your choice to find a new AL, can they handle the level of care they both need, perhaps memory care or a nursing home would be more appropriate.
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